Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $1,300.00 / $3,500.00	Facility		$483.00	$1,300.00	$3,500.00
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $168.27 / $178.70 / $199.62	Facility	26	$168.27	$178.70	$199.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $483.73 / $597.26	Professional		$341.43	$483.73	$597.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.62 / $178.70 / $215.23	Professional	26	$120.62	$178.70	$215.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $214.11 / $305.02 / $380.73	Professional	TC	$214.11	$305.02	$380.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.31 / $763.98 / $1,347.30	Facility		$443.31	$763.98	$1,347.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.68 / $515.37 / $608.11	Professional		$461.68	$515.37	$608.11
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $165.38 / $176.48 / $229.73	Professional	26	$165.38	$176.48	$229.73
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $282.41 / $335.70 / $398.70	Professional	TC	$282.41	$335.70	$398.70
Christus Facility/Professional Facility Modifier Low / Median / High Price $516.21 / $516.21 / $516.21	Facility		$516.21	$516.21	$516.21
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $358.92 / $358.92 / $358.92	Professional	26	$358.92	$358.92	$358.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.77 / $475.96 / $595.59	Professional		$380.77	$475.96	$595.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.50 / $167.05 / $222.73	Professional	26	$134.50	$167.05	$222.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $240.52 / $306.66 / $419.34	Professional	TC	$240.52	$306.66	$419.34
United Facility/Professional Facility Modifier Low / Median / High Price $341.00 / $1,049.00 / $2,271.00	Facility		$341.00	$1,049.00	$2,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.06 / $462.10 / $726.47	Professional		$308.06	$462.10	$726.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $113.88 / $167.86 / $268.38	Professional	26	$113.88	$167.86	$268.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $189.54 / $286.52 / $458.09	Professional	TC	$189.54	$286.52	$458.09